DIABETES AND HYPERTENSION--DEVELOPING A PATIENT DATABASE

这项规划补助金的目的是建立一个数据库， 有资格参加风险因素前瞻性研究的患者 黑人、西班牙裔和非西班牙裔白人的糖尿病发病率， 高血压 数据库将包含人口统计学和临床 高血压、糖尿病和血糖受损患者信息 宽容谁接受持续的初级保健在一个网络的公共 支持德克萨斯州休斯顿的社区卫生中心。 种族/民族 该系统中成人患者的分布约为42% 黑人，36%西班牙裔，19%非西班牙裔白色。 大量数据显示， 收集了6,500名糖尿病患者的数据， 但高血压患者的数量和特征， 葡萄糖耐量受损是未知的。 糖尿病更常见于 黑人和西班牙裔比非西班牙裔白人，高血压是 在黑人中更常见。 最近，有证据表明，这两个 这些病症有共同的病因学联系。 拟议的因素研究 预测糖尿病发病率的多种族队列， 高血压患者可以更好地理解 两者之间的条件，并提供信息，以指导设计 有效的治疗和初级预防战略。 数据库 在此期间建立的项目也将作为其他资源 德克萨斯州医学中心（德克萨斯州休斯顿）的研究人员对以下问题感兴趣： 对糖尿病进行临床、行为或流行病学研究， 少数民族高血压。

The purpose of this planning grant is to establish a database to identify patients eligible to participate in a prospective study of risk factors for diabetes incidence in Blacks, Hispanics, and non-Hispanic Whites with hypertension. The database will contain demographic and clinical information on patients with hypertension, diabetes, and impaired glucose tolerance who receive ongoing primary care in a network of publicly supported community health centers in Houston, Texas. The racial/ethnic distribution of the adult patients in this system is approximately 42% Black, 36% Hispanic, and 19% non-Hispanic White. Considerable data have been collected on the 6,500 diabetic patients under care in the system, but the number and characteristics of patients with hypertension or impaired glucose tolerance are not known. Diabetes is more common in Blacks and Hispanics than in non-Hispanic Whites, and hypertension is more common in Blacks. Recently, evidence has suggested that these two conditions share a common etiologic link. The proposed study of factors that predict incidence of diabetes in a multi-ethnic cohort of hypertensives could lead to a better understanding of the relationship between the two conditions and provide information to guide the design of effective treatment and primary prevention strategies. The database established during this project will also serve as a resource to other investigators in the Texas Medical Center (Houston, Texas) interested in conducting clinical, behavioral or epidemiologic research on diabetes and hypertension in minorities.